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Pediatrics Flashcards

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1
Q

gonorrhea vs chlamydia in child

A

gonorrhea is diagnostic of sexual abuse, chlamydia may be contracted during labor and remain + for up to 3 years

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2
Q

Cyanotic heart defects (5)

A

5 T’s:

Truncus arteriosis, TOGV, Tricuspid atresia, ToF, TAPVR

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3
Q

Noncyanotic heart defects (3)

A

3 D’s:

VSD, PDA, ASD

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4
Q

MCC congenital heart disease

A

VSD

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5
Q

peds heart cond. ass. with Kawasaki disease

A

coronary artery aneurysms

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6
Q

CHD ass. with congenital rubella

A

PDA

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7
Q

peds heart cond. ass. with neonatal lupus

A

heart block

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8
Q

CHD ass. with Downs

A

ASD and endocardial cushion defects

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9
Q

Peds heart cond. ass. with maternal DM

A

asymmetric septal hypertrophy and ToGV*

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10
Q

peds heart cond. ass. with maternal Li intake

A

Ebstein’s anomaly

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11
Q

Tx PDA

A

indomethacin

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12
Q

Cyanosis in left arm and legs vs. normal right arm

A

coarctation of the aorta (post vs pre ductal)

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13
Q

Drug to keep PDA open

A

PGE1

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14
Q

DiGeorge Syndrome CATCH 22

A 
Cardiac (ToF)
Abnormal facies
Thymic aplasia
Cleft palate
Hypocalcemia
22q11 del
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15
Q

RF for ToF (2)

A

Maternal PKU, DiGeorge Syndrome

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16
Q

Single S2

A

think ToF (overriding aorta)

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17
Q

Boot shaped heart

A

ToF

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18
Q

Tx tet spells (hypercyanosis) (5)

A

O2, propranolol, phenylephrine, fluids, knee-chest position

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19
Q

6 conditions associated with Down’s

A

CHD, Hirschsprung’s, duodenal atresia, ALL, hypothyroidism, early-onset Alzheimer’s

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20
Q

Rocker-bottom feet, micrognathia, clenched hand

A

Trisomy 18 (Edwards syndrome)

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21
Q

polydactyly, microphthalmia, microcephaly, holoprosencephaly

A

Patau’s Syndomre (Trisomy 13)

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22
Q

Tetrology of Fallot (PROVe)

A

pulmonary stenosis, overriding aorta, RVH, VSD

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23
Q

+ Sweat chloride test cut-off

24
Q

fair skin, eczema, blond hair.blue eyes, musty odor

25
Fabry's has increased risk of:
RF and MI (TOE)
26
Tx PKU
limit phenylalanine, increase tyrosine
27
severe neuropathic limb pain, angiokeratomas and telangiectasias
Fabry's disease
28
Trisomy ass. with horseshoe kidneys
Trisomy 18
29
LSD with progressive CNS degeneration
Krabbe's disease
30
Glucocerebrosidase deficiency, crinkled paper histology
Gaucher's disease
31
Hexosaminidase deficiency
Tay-Sachs
32
LSD with cherry red spot but NO HSM, developmental decline
Tay-Sachs
33
Sphingomyelinase deficiency
Niemann-Pick disease
34
LSD with cherry red spot and HSM
Niemann-Pick
35
X-linked recessive Lysosomal storage diseases (2)
Hunter's, Fabry's
36
Anaphylactic transfusion reaction, think...
Think IgA deficiency
37
LSD with corneal clouding, gargoylism
Hurler's
38
Wiskott-Aldrich Syndrome "WIPE"
Wiskott-aldrich Infections (OM) Purpura (thrombocytopenic) Eczema
39
Tx IgA deficiency
NOT IVIG bc it will form anti-IgA IgG ab's, simply treat recurrent infections
40
Infections in chronic granulomatous disease (6)
Organisms are catalase +: s aureus, e coli, candida, klebsiella, pseudomonas, aspergillus
41
decreased IgM
Wiskott-Aldrich syndrome
42
Dx CGD
nitroblue tetrazolium
43
Tx CGD
daily bactrim +/- IFN-gamma
44
delayed separation of umbilicus
Leukocyte adhesion deficiency
45
Wounds with no pus and minimal inflammation
leukocyte adhesion deficiency
46
immunodef. with increased PYOGENIC infxns
Chediak-Higashi syndrome
47
Job's Syndrome "FATED"
``` coarse Facies Abscesses (S. aureus) retained primary Teeth hyper-IgE Dermatologic (eczema) ```
48
abd mass with rosette pattern histology
Neuroblastoma
49
Differentiate scarlet fever and kawasaki d/s
both have strawberry tongue, desquamative hands, rash but scarlet fever will NOT have chapped lips or conjunctivitis
50
oculocutaneous albinism, peripheral neurophathy and neutropenia
Chediak-Higashi Syndrome
51
Tx Kawasaki d/s
high dose ASA and IVIG
52
Kawasaki "CRASH and BURN"
Conjunctivitis, Rash, Adenopathy, Strawberry tongue, Hands (desquamation), BURN (fever>104F for 5+ days)
53
What medication can induce tumor lysis syndrome?
Corticosteroids
54
abd mass with myoclonus, HTN and crosses midline
Neuroblastoma
55
abd mass with aniridia, hemihypertropy, HTN and does NOT cross the midline
Wilm's Tumor
56
Still's Disease
systemic JIA with recurrent high fever, HSM, and salmon-colored macular rash

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